Catastrophic health expenditure and rural household impoverishment in China: what role does the new cooperative health insurance scheme play?
Catastrophic health expenditure and rural household impoverishment in China: what role does the new cooperative health insurance scheme play?
复制标题
中国灾难性医疗支出与农村家庭贫困：新型合作医疗保险计划发挥什么作用？
DOI：
10.1371/journal.pone.0093253
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Ning N
中科院分区：
文献类型：
--
作者：
Li Y;Wu Q;Liu C;Kang Z;Xie X;Yin H;Jiao M;Liu G;Hao Y;Ning N
研究新型农村合作医疗制度（NCMS）是否与中国农村家庭灾难性卫生支出水平的降低和医疗费用负担的减少有关。对2008年国家卫生服务调查的38，945个农村家庭（129，635人）的全国代表性样本进行了分析。Logistic回归模型以灾难性卫生支出的二元指标为因变量，以家庭消费、人口学特征、医疗保险计划和慢性病为自变量。经历灾难性卫生支出和医疗费用的家庭比例较高，这与保健需求增加有关。社会经济地位较高的家庭与社会经济地位最低的家庭相比，灾难性医疗支出水平相似。参加新型农村合作医疗的家庭与没有参加医疗保险的家庭有着相似的灾难性医疗支出和医疗负担水平。尽管覆盖率超过95%，但新型农村合作医疗未能防止灾难性的卫生支出和医疗费用。需要提高一揽子福利，需要考虑在提供方建立有效的成本控制机制。
To determine whether the New Cooperative Medical Insurance Scheme (NCMS) is associated with decreased levels of catastrophic health expenditure and reduced impoverishment due to medical expenses in rural households of China. An analysis of a national representative sample of 38,945 rural households (129,635 people) from the 2008 National Health Service Survey was performed. Logistic regression models used binary indicator of catastrophic health expenditure as dependent variable, with household consumption, demographic characteristics, health insurance schemes, and chronic illness as independent variables. Higher percentage of households experiencing catastrophic health expenditure and medical impoverishment correlates to increased health care need. While the higher socio-economic status households had similar levels of catastrophic health expenditure as compared with the lowest. Households covered by the NCMS had similar levels of catastrophic health expenditure and medical impoverishment as those without health insurance. Despite over 95% of coverage, the NCMS has failed to prevent catastrophic health expenditure and medical impoverishment. An upgrade of benefit packages is needed, and effective cost control mechanisms on the provider side needs to be considered.
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影响因子：
2.8
作者：
Gotsadze G;Zoidze A;Rukhadze N
通讯作者：
Rukhadze N
影响因子：
2.1
作者：
Flores, Gabriela;Krishnakumar, Jaya;Van Doorslaer, Eddy
通讯作者：
Van Doorslaer, Eddy
影响因子：
3.2
作者：
Adhikari, Shiva R.;Maskay, Nephil M.;Sharma, Bishnu P.
通讯作者：
Sharma, Bishnu P.
影响因子：
2.1
作者：
Sun, Xiaoyun;Jackson, Sukhan;Sleigh, Adrian C.
通讯作者：
Sleigh, Adrian C.
DOI：
10.2471/blt.05.023739
发表时间：
2006-01-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Su, Tin Tin;Kouyaté, Bocar;Flessa, Steffen
通讯作者：
Flessa, Steffen